Active NPI
Charles L Brauchla, MD
- Emergency Medicine Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301505430
- Practice address
- 1000 Oakland Dr
Kalamazoo, MI 49008-1282 - Phone
- (269) 337-4400
- NPI assigned
- Jun 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 65306 | TN | |
| Emergency Medicine Physician | 207P00000X | 4301505430 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | 0101274875 | VA |
Addresses
Primary practice location
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Other practice location 1
800 S Mohawk Dr Ste C
Erwin, TN 37650-2124
Phone (423) 330-6177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Indian Path Community Hospital
- Wellmont Bristol Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 83.8
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.12 of 100
- Quality
- 64.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Western Virginia Regional Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
800 S Mohawk Dr
Ste C
Erwin, TN 37650
Phone (423) 330-6177
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
-
dba Ballad Health
- Internal Medicine Physician
- Erwin, TN
- NPI 1538989371
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indian Path Community Hospital
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
dba Bristol Regional Medical Center
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1407416423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-337-4400"
}
],
"practiceLocations": [
{
"address_1": "800 S Mohawk Dr Ste C",
"address_purpose": "LOCATION",
"city": "Erwin",
"state": "TN",
"postal_code": "376502124",
"country_code": "US",
"telephone_number": "423-330-6177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUCHLA",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "65306",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301505430",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101274875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.